Individual
KEVIN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 SALEM ST, FORT COLLINS, CO 80525-4805
(970) 310-1219
Mailing address
1412 SALEM ST, FORT COLLINS, CO 80525-4805
(970) 310-1219
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0997625-CRNA
CO
Other
Enumeration date
03/05/2019
Last updated
08/04/2022
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